Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Danny Bartel (NPI 1679535843)

Field	Value
Entity Type	Individual
Organization	Danny Bartel
Address	1722 9th St
City	Wichita Falls
State	TX
ZIP	76301
Taxonomy	Neurology Physician
NPI Enumerated	April 4, 2006

Payer Source	Total Paid
Medicare	$4.4M
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: Total Medicare revenue is $4.4M and there is no Medicaid billing on file. The absence of Medicaid activity suggests the provider’s patient mix, contracts, and operational focus are concentrated around Medicare beneficiaries rather than dual- or Medicaid-dominant populations, which has implications for payer negotiations and access to Medicaid-covered patients in the local market.

Revenue is highly concentrated among a few services: the top three Medicare codes — 99489 ($1.5M, 34.7%), J2323 ($752.4K, 17.1%), and 99487 ($589.7K, 13.4%) — together account for 65.2% of the provider’s Medicare revenue. That level of concentration means reimbursement or utilization changes for these specific codes would materially affect the provider’s revenue base.

The code mix indicates a neurology practice model built around complex chronic care management and procedure‑based services: high-value chronic care management codes 99489 and 99487 dominate revenue, while J2323 (natalizumab) and J1561 (immune globulin) point to in‑office/infusion drug administration. Substantial volumes of electrodiagnostic and neurophysiology procedures (95886, 95913, 95813) further indicate integrated diagnostic services alongside infusion and care coordination capabilities.

For several key codes the provider is a national leader: 99489 ranks #4 of 1836 providers nationally (100th percentile; extreme outlier) and 99487 ranks #4 of 2701 providers nationally (100th percentile; extreme outlier). Neurodiagnostic codes also show dominant national standing — 95913 ranks #3 of 1528 (100th percentile), 95886 ranks #4 of 6525 (100th percentile), and 95813 ranks #1 of 494 (100th percentile) — signaling unusually high volume and a dominant service footprint for these procedures.

Infused biologic and immunotherapy billing is meaningful but less extreme than chronic care management: J2323 has $752.4K revenue and ranks #12 of 40 providers nationally (72th percentile; typical, unremarkable volume), while J1561 contributes $462K and ranks #25 of 180 providers nationally (87th percentile; typical, unremarkable volume). This pattern suggests infusion services are an established part of the practice but not the sole driver of its outlier status.

High E/M and in‑office evaluation volume supports a substantial ambulatory practice component: 99214 accounts for $277.8K and ranks #274 of 479517 providers nationally (100th percentile; extreme outlier), and 99204 shows elevated new‑patient activity at $26.1K and ranks #3498 of 227068 providers nationally (98th percentile; extreme outlier). These rankings are consistent with a large, active patient panel receiving both routine neurology visits and complex care coordination.

There is measurable procedural breadth beyond the top revenue codes: multiple vascular ultrasound and balance/vestibular codes (93886, 93880, 92546, 92540) appear in the top 25, indicating ancillary diagnostic services that complement neurology care. While many of these codes sit at typical or above‑typical percentiles, their presence signals a vertically integrated service line offering diagnostics, injections, infusions, and extended monitoring.

The provider’s NPI was enumerated 2006-04-04 (~20 years ago), indicating long tenure in the Medicare program. That longevity, together with extreme national rankings on multiple neurology and care‑management codes, suggests an established referral network and operational capacity to sustain high procedural and chronic care management volumes.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99489	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	28,810	$50	$1.5M
J2323	Injection, natalizumab, 1 mg	39,600	$20	$752.4K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	6,080	$100	$589.7K
J1561	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg	12,160	$40	$462K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,960	$90	$277.8K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	2,580	$80	$196.1K
95913	In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	640	$220	$142.1K
95813	An electroencephalogram is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring refers to a study that runs longer…	390	$330	$128.3K
95938	In this procedure, the provider performs a short–latency somatosensory evoked potential study by stimulating the peripheral nerves or skin sites in both the upper limbs and lower limbs. The provider…	160	$270	$44.1K
93890	N/A	170	$210	$36K

Showing 1–10 of 44

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 44 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Danny Bartel — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

44 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1561	11	20	16,380	$40	$1.3M
J2323	2	10	39,600	$20	$676.1K
99489	2	120	90	$50	$53.4K
99487	2	260	50	$100	$28.8K
96413	743	810	150	$100	$19.7K
99214	19	32,500	110	$80	$17.6K
95938	33	70	130	$60	$13.7K
93886	6	40	40	$140	$11.9K
95813	1	50	30	$200	$11.6K
95913	1	130	30	$210	$11.2K

Showing 1–10 of 44

Related Providers

Other providers that share a Tax Identification Number (TIN) with Danny Bartel, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Desmond	TX	Adult Health Nurse Practitioner	$1.7M	$0
Brandon Claflin	OK	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$532.7K	$0
Husham Mishu	GA	Neurology Physician	$529.5K	$0
Lynda Zeeman	DE	Family Nurse Practitioner	$382.2K	$0
Julian Bragg	GA	Neurology Physician	$302.3K	$0
Vinay Hosmane	DE	Cardiovascular Disease Physician	$218.2K	$0
Darin Stettler	UT	Anesthesiology Physician	$214.4K	$0
Deborah Combs Cantrell	TX	Neurology Physician	$180.4K	$0
Igor Rakovchik	TX	Physical Medicine & Rehabilitation Physician	$174.9K	$0
Joseph Moreira	NY	Neurology Physician	$157.9K	$0

Nearby Providers

Other providers in the same ZIP code as Danny Bartel, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Regional Health Care System Inc	TX	General Acute Care Hospital	$0	$21.1M
North Central Texas Community Health Care Center, Inc	TX	Federally Qualified Health Center (FQHC)	$0	$12.3M
Praveen Reddy	TX	Hematology & Oncology Physician	$1.8M	$0
Shehzadi Nagra	TX	Infectious Disease Physician	$1.4M	$770
Texoma Outpatient Surgery Center, Inc.	TX	Ambulatory Surgical Clinic/Center	$1.1M	$650
Wichita Falls Endoscopy Center	TX	Ambulatory Surgical Clinic/Center	$788.2K	$58K
Ashvinkumar Patel	TX	Nephrology Physician	$792.6K	$0
Sanjoy Sundaresan	TX	Neurological Surgery Physician	$779.8K	$0
Venkat Thota	TX	Cardiovascular Disease Physician	$580K	$0
Jordan Terasaki	TX	Pulmonary Disease Physician	$526.6K	$0

Danny Bartel — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References